| Hepatic duct was dilated with a s/l Chahyndra dilator.Posted By: Spice on 2007-06-21In Reply to:
 
 Subject: Hepatic duct was dilated with a s/l Chahyndra dilator.
 
 
   
 
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 GI - Dilated B-ring?
 Subject: GI - Dilated B-ring?
 
 
 Just looking for some quick help... 
 She has had EGD in March of 2007 with a small hiatal hernia noted and a B-ring that was dilated
 I am not familiar with this term... Anyone?
 ASR also typed pt is 81 cm dilated!!! nm
 Subject: ASR also typed pt is 81 cm dilated!!! nm
 
 Yikes!
 usually dilated "cardiomyopathy," but not sure if
 Subject: usually dilated "cardiomyopathy," but not sure if
 
 that works with your s/l.
 maybe inner dilator  (nm)
 Subject: maybe inner dilator  (nm)
 
 x
 Help, please, never do angio: dilated to s/l 16 **bars**
 Subject: Help, please, never do angio: dilated to s/l 16 **bars**
 
 
 4 cm dilated, 80% efface and 0 station
 Subject: 4 cm dilated, 80% efface and 0 station
 
 
 idiopathic dilated cardiomyopathy
 Subject: idiopathic dilated cardiomyopathy
 
 
 introducer or dilator. nm
 Subject: introducer or dilator. nm
 
 x
 Yes, Hegar dilator is right.
 Subject: Yes, Hegar dilator is right.
 
 I never heard of Glenn anastomosis though. Are you asking about that too?
 Hanks dilator? nm
 Subject: Hanks dilator? nm
 
 x
 The s/l "Brew-i-nal" dilator.  sm
 Subject: The s/l "Brew-i-nal" dilator.  sm
 
 
 The s/l "Brew-i-nal" dlator was then used to further dilate the tracheostomy site.   
 
 50% effaced (dilated), then usually mention a "station" going from -5 to +5. nm
 Subject: 50% effaced (dilated), then usually mention a "station" going from -5 to +5. nm
 
 s
 Usually hear how much dilated, how much effaced, and where the head is, so sm...
 Subject: Usually hear how much dilated, how much effaced, and where the head is, so sm...
 
 it would be something like patient presents at 7 cm dilation, 50% effaced, with the head at -1, or sometimes just as numbers with slashes 7/50/-1. I'm not positive of the order of the values, though. Maybe someone more experienced with OB notes can help you there. You wouldn't have specific numbers like 6.9 etc., at least not that I've ever heard of. nm
 ventricle is globally hypokinetic and dilated   NM
 Subject:  ventricle is globally hypokinetic and dilated   NM
 
 xx
 Could it be Beehler Pupil Dilator?
 Subject: Could it be Beehler Pupil Dilator?
 
 That's the only thing I'm finding so far.
 Heyman dilator or Hayman.
 Subject: Heyman dilator or Hayman.
 
 used to work in uro office for 13 years.
 Hayman dilator according to Stedman's
 Subject: Hayman dilator according to Stedman's
 
 
 
 TTL or TDL esophageal balloon dilator?  nm
 Subject: TTL or TDL esophageal balloon dilator?  nm
 
 
 Possibly a Maloney dilator? - nm
 Subject: Possibly a Maloney dilator? - nm
 
 
 if it's not dilated bowel loops; possibly intestinal?
 Subject: if it's not dilated bowel loops; possibly intestinal?
 
 
   Cervix was dilated with s/l anti or hani dilators.  TIA.
 Subject: Cervix was dilated with s/l anti or hani dilators.  TIA.
 
 
 I'm looking this up and wondering if your are haring introducer/ dilator or something along that
 Subject: I'm looking this up and wondering if your are haring introducer/ dilator or something along that
 
 • Insert peelable introducer sheath/dilator assembly over guidewire using a twisting motion. Continue to advance assembly until sheath position will ensure catheter entry into vein. (Figure 2)
 • Remove dilator and advance catheter through sheath. (Figure 3)
 • Advance catheter until approximately 5cm remain outside sheath.
 • Withdraw sheath from vein and pull both tabs to split. Discard sheath.
 
 
 could it be four punch clad steel dilator?
 Subject: could it be four punch clad steel dilator?
 
 
 SL Busey or blue sheath dilator.  Tks.  nm
 Subject: SL Busey or blue sheath dilator.  Tks.  nm
 
 xx
 Stensen duct
 Subject: Stensen duct
 
 According to Dorland's dictionary and it is in the mouth.
 sac of the cystic duct ??
 Subject: sac of the cystic duct ??
 
 
 Does the cystic duct have a sac????/ It sounds like sac....but here it is in context... 
   
 The gallbladder was elevated with the sac of the cystic duct free initially. It was a relatively long structure.  maybe common duct exploration?  nm
 Subject: maybe common duct exploration?  nm
 
 x
 partially occluded s/l eep duct
 Subject: partially occluded s/l eep duct
 
 
 I need help with this part on a not so great recording.  The doctor says "At the bronchus intermedius is a partially occluded [s/l eep] duct and [s/l polyp or polished] white pale tissue which [bled (I think)] easily."  Can anyone shed any light?  Thanks. maybe inflamed meibomian duct?
 Subject: maybe inflamed meibomian duct?
 
 
 sounds like sialic duct
 Subject: sounds like sialic duct
 
 TIA!!
 Stenson's duct gland?
 Subject: Stenson's duct gland?
 
 
 Anyone know this? I can't confirm this as being right..."Stenson's duct gland?" It's in the mouth... 
 Thanks! 
   could it be "...the neck and cystic duct..." ??
 Subject: could it be "...the neck and cystic duct..." ??
 
 
 Got it, "some bile duct" . . thanks!
 Subject: Got it, "some bile duct" . . thanks!
 
 
 re: bowel obstruction:  dilated loops are s/l AIR-E-POSED? anterior to the liver
 Subject: re: bowel obstruction:  dilated loops are s/l AIR-E-POSED? anterior to the liver
 
 
 got it... i think...hepatic thank u
 Subject: got it... i think...hepatic thank u
 
 
 hepatic ?  nm
 Subject: hepatic ?  nm
 
 x
 I wonder if it's common bile duct stone? nm
 Subject: I wonder if it's common bile duct stone? nm
 
 nm
 Lacrimal duct balloon inflated to 8 s/l bar?  nm
 Subject: Lacrimal duct balloon inflated to 8 s/l bar?  nm
 
 
 extrahepatic or biliary? bile duct? nm
 Subject: extrahepatic or biliary? bile duct? nm
 
 
 It does not sound like biliary/bile duct!
 Subject: It does not sound like biliary/bile duct!
 
 
 hepatic, s/l insubatic..
 Subject: hepatic, s/l insubatic..
 
 sounds like hepatic "insubatic" defect.... in an infant with chronic jaundice seen on isotope hepatobiliary scan.   Thanks!!
 hepatic porphyria
 Subject: hepatic porphyria
 
 An abnormal increase in pigments made in the liver - hope this is what you need
 hepatic encephalopathy
 Subject: hepatic encephalopathy
 
 
  Thanks for your help! hepatic encephalopathy
 Subject: hepatic encephalopathy
 
 Xifaxan.
 How about exocrine or hepatic? nm
 Subject: How about exocrine or hepatic? nm
 
 x
 Could it be hepatic infection?
 Subject: Could it be hepatic infection?
 
 
 hepatic ligament
 Subject: hepatic ligament
 
 distal
 c.	Glenn anastomosis with right pulmonary artery dilation with a *hegar* dilator (sm)
 Subject: c.	Glenn anastomosis with right pulmonary artery dilation with a *hegar* dilator (sm)
 
 I am just not finding this one today.  Any help would be so appreciated! TIA!
 ejection fraction ______ (titer? hi duct?)
 Subject: ejection fraction ______ (titer? hi duct?)
 
 
 CLueless here.... The patient had right upper quadrant pain and the ultrasound did not show gallbladder disease.  Says we may need to do an ejection fraction _____.  titer? hi duct?  Can't make out any better than that.  Ideas? Hmmm.  Can you hear alveolar duct?  Maybe polypoid for the second s/l? nm
 Subject: Hmmm.  Can you hear alveolar duct?  Maybe polypoid for the second s/l? nm
 
 x
 mild s/l muritzes of the common bile duct. TIA!!!
 Subject: mild s/l muritzes of the common bile duct. TIA!!!
 
 
 
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